BRIAN MATTHEW LIXEY

FORT CAMPBELL, KY
NPI1194072348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MI  2901020670)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- BRIAN MATTHEW LIXEY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
Mailing Address
-- BRIAN MATTHEW LIXEY DDS
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8614
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